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style="font-size: 10pt; margin-top: 0pt"><b></b> </div> <div align="left" style="font-size: 10pt; margin-top: 12pt"><b>1. BASIS OF PRESENTATION</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The unaudited condensed consolidated financial statements of Community Health Systems, Inc. and its subsidiaries (the &#8220;Company&#8221;) as of June&#160;30, 2011 and December&#160;31, 2010 and for the three-month and six-month periods ended June&#160;30, 2011 and June&#160;30, 2010, have been prepared in accordance with accounting principles generally accepted in the United States of America (&#8220;U.S. GAAP&#8221;). In the opinion of management, such information contains all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the results for such periods. All intercompany transactions and balances have been eliminated. The results of operations for the three and six months ended June&#160;30, 2011, are not necessarily indicative of the results to be expected for the full fiscal year ending December&#160;31, 2011. Certain information and disclosures normally included in the notes to consolidated financial statements have been condensed or omitted as permitted by the rules and regulations of the Securities and Exchange Commission (the &#8220;SEC&#8221;). The Company believes the disclosures are adequate to make the information presented not misleading. The accompanying unaudited condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto for the year ended December&#160;31, 2010, contained in the Company&#8217;s Annual Report on Form 10-K. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Noncontrolling interests in less-than-wholly-owned consolidated subsidiaries of the parent are presented as a component of total equity on the condensed consolidated balance sheets to distinguish between the interests of the parent company and the interests of the noncontrolling owners. Noncontrolling interests that are redeemable or may become redeemable at a fixed or determinable price at the option of the holder or upon the occurrence of an event outside of the control of the Company are presented in mezzanine equity on the condensed consolidated balance sheets. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;During the three months ended March&#160;31, 2011, the Company sold a multi-specialty physician clinic and made the decision to sell a hospital. In June&#160;2011, the Company entered into a definitive agreement to sell two of its hospitals in Oklahoma. As of June&#160;30, 2011, the Company has three hospitals held for sale. The condensed consolidated statement of income for the three and six months ended June&#160;30, 2010 has been restated to reclassify the results of operations for these entities to discontinued operations. The condensed consolidated balance sheet as of December 31, 2010 has been restated to present the long-lived assets of the disposal group as held for sale in other assets, net for comparative purposes with the June&#160;30, 2011 presentation. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Throughout these notes to the condensed consolidated financial statements, Community Health Systems, Inc. (the &#8220;Parent&#8221;), and its consolidated subsidiaries are referred to on a collective basis as the &#8220;Company.&#8221; This drafting style is not meant to indicate that the publicly-traded Parent or any subsidiary of the Parent owns or operates any asset, business, or property. 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COST OF REVENUE</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Substantially all of the Company&#8217;s operating costs and expenses are &#8220;cost of revenue&#8221; items. Operating costs that could be classified as general and administrative by the Company would include the Company&#8217;s corporate office costs at its Franklin, Tennessee office, which were $47.8&#160;million and $42.4&#160;million for the three months ended June&#160;30, 2011 and 2010, respectively, and $89.5 million and $80.2&#160;million for the six months ended June&#160;30, 2011 and 2010, respectively. 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ACQUISITIONS AND DIVESTITURES</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;<b><i>Acquisitions</i></b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company accounts for all transactions that represent business combinations after January 1, 2009 using the acquisition method of accounting, where the identifiable assets acquired, the liabilities assumed and any noncontrolling interest in the acquired entity are recognized and measured at their fair values on the date the Company obtains control in the acquiree. Such fair values that are not finalized for reporting periods following the acquisition date are estimated and recorded as provisional amounts. Adjustments to these provisional amounts during the measurement period (defined as the date through which all information required to identify and measure the consideration transferred, the assets acquired, the liabilities assumed and any noncontrolling interests has been obtained, limited to one year from the acquisition date) are recorded as of the date of acquisition. Any material impact to comparative information for periods after acquisition, but before the period in which adjustments are identified, is reflected in those prior periods as if the adjustments were considered as of the acquisition date. Goodwill is determined as the excess of the fair value of the consideration conveyed in the acquisition over the fair value of the net assets acquired. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Effective May&#160;1, 2011, one or more subsidiaries of the Company completed the acquisition of Mercy Health Partners based in Scranton, Pennsylvania, a healthcare system of two acute care hospitals, a long-term acute care facility and other healthcare providers. This healthcare system includes Regional Hospital of Scranton (198 licensed beds) located in Scranton, Pennsylvania, and Tyler Memorial Hospital (48 licensed beds) located in Tunkhannock, Pennsylvania. This healthcare system also includes a long-term acute care facility, Special Care Hospital (67 licensed beds) located in Nanticoke, Pennsylvania, as well as several outpatient clinics and other ancillary facilities. 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INCOME TAXES</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The total amount of unrecognized benefit that would affect the effective tax rate, if recognized, was approximately $7.7&#160;million as of June&#160;30, 2011. It is the Company&#8217;s policy to recognize interest and penalties related to unrecognized benefits in its condensed consolidated statements of income as income tax expense. During the six months ended June&#160;30, 2011, the Company increased liabilities by $0.1&#160;million and increased interest and penalties by approximately $0.2 million. A total of approximately $1.5&#160;million of interest and penalties is included in the amount of the liability for uncertain tax positions at June&#160;30, 2011. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company believes that it is reasonably possible that approximately $2.3&#160;million of its current unrecognized tax benefit may be recognized within the next 12&#160;months as a result of a lapse of the statute of limitations and settlements with taxing authorities. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company, or one of its subsidiaries, files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. The Company has extended the federal statute of limitations for Triad Hospitals, Inc. (&#8220;Triad&#8221;) for the tax periods ended December&#160;31, 1999, December&#160;31, 2000, April&#160;30, 2001, June&#160;30, 2001, December&#160;31, 2001, December&#160;31, 2002 and December 31, 2003. The Company is currently under examination by the Internal Revenue Service (&#8220;IRS&#8221;) regarding the federal tax return of Triad for the tax periods ended December&#160;31, 2004, December&#160;31, 2005, December&#160;31, 2006 and July&#160;25, 2007. The Company believes the results of this examination will not be material to its consolidated results of operations or consolidated financial position. With few exceptions, the Company is no longer subject to state income tax examinations for years prior to 2007 and federal income tax examinations with respect to Community Health Systems, Inc. federal returns for years prior to 2007. The Company&#8217;s federal income tax returns for the 2007 and 2008 tax years are currently under examination by the IRS. 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During the three and six months ended June&#160;30, 2010, the Company repurchased and retired 356,000 shares at a weighted-average price of $34.24 under this program. 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The Company used the net proceeds of $3.0&#160;billion from the Notes offering and the net proceeds of approximately $6.1&#160;billion of term loans under the Credit Facility to acquire the outstanding shares of Triad, to refinance certain of Triad&#8217;s indebtedness and the Company&#8217;s indebtedness, to complete certain related transactions, to pay certain costs and expenses of the transactions and for general corporate uses. 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In January&#160;2009, CHS drew down the remaining $200&#160;million of the delayed draw term loan. The revolving credit facility also includes a subfacility for letters of credit and a swingline subfacility. The Credit Facility requires quarterly amortization payments of each term loan facility equal to 0.25% of the outstanding amount of the term loans. On November&#160;5, 2010, CHS entered into an amendment and restatement of its existing Credit Facility. The amendment extends by two and a half years, until January&#160;25, 2017, the maturity date of $1.5&#160;billion of the existing term loans under the Credit Facility and increases the pricing on these term loans to LIBOR plus 350 basis points. If more than $50&#160;million of the Notes remain outstanding on April&#160;15, 2015, without having been refinanced, then the maturity date for the extended term loans will be accelerated to April&#160;15, 2015. The maturity date of the balance of the term loans of approximately $4.5&#160;billion remains unchanged at July&#160;25, 2014. The amendment also increases CHS&#8217;s ability to issue additional indebtedness under the uncommitted incremental facility to $1.0&#160;billion from $600 million, permits CHS to issue Term A term loans under the incremental facility, and provides up to $2.0&#160;billion of borrowing capacity from receivable transactions, an increase of $0.5&#160;billion, of which $1.7&#160;billion would be required to be used for repayment of existing term loans. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The term loan facility must be prepaid in an amount equal to (1)&#160;100% of the net cash proceeds of certain asset sales and dispositions by the Company and its subsidiaries, subject to certain exceptions and reinvestment rights, (2)&#160;100% of the net cash proceeds of issuances of certain debt obligations or receivables based financing by the Company and its subsidiaries, subject to certain exceptions, and (3)&#160;50%, subject to reduction to a lower percentage based on the Company&#8217;s leverage ratio (as defined in the Credit Facility generally as the ratio of total debt on the date of determination to the Company&#8217;s EBITDA, as defined, for the four quarters most recently ended prior to such date), of excess cash flow (as defined) for any year, commencing in 2008, subject to certain exceptions. 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All obligations under the Credit Facility and the related guarantees are secured by a perfected first priority lien or security interest in substantially all of the assets of the Company, CHS and each subsidiary guarantor, including equity interests held by the Company, CHS or any subsidiary guarantor, but excluding, among others, the equity interests of non-significant subsidiaries, syndication subsidiaries, securitization subsidiaries and joint venture subsidiaries. </div> <!-- Folio --> <!-- /Folio --> </div> <!-- PAGEBREAK --> <div style="font-family: 'Times New Roman',Times,serif"> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The loans under the Credit Facility bear interest on the outstanding unpaid principal amount at a rate equal to an applicable percentage plus, at CHS&#8217;s option, either (a)&#160;an Alternate Base Rate (as defined) determined by reference to the greater of (1)&#160;the Prime Rate (as defined) announced by Credit Suisse or (2)&#160;the Federal Funds Effective Rate (as defined) plus one-half of 1.0% or (3)&#160;the adjusted London Interbank Offered Rate (&#8220;LIBOR&#8221;) on such day for a three-month interest period commencing on the second business day after such day plus 1%, or (b)&#160;a reserve adjusted LIBOR for dollars (Eurodollar rate) (as defined). The applicable percentage for Alternate Base Rate loans is 1.25% for term loans due 2014 and is 2.25% for term loans due 2017. The applicable percentage for Eurodollar rate loans is 2.25% for term loans due 2014 and 3.5% for term loans due 2017. The applicable percentage for revolving loans is 1.25% for Alternate Base Rate revolving loans and 2.25% for Eurodollar revolving loans, in each case subject to reduction based on the Company&#8217;s leverage ratio. Loans under the swingline subfacility bear interest at the rate applicable to Alternate Base Rate loans under the revolving credit facility. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;CHS has agreed to pay letter of credit fees equal to the applicable percentage then in effect with respect to Eurodollar rate loans under the revolving credit facility times the maximum aggregate amount available to be drawn under all letters of credit outstanding under the subfacility for letters of credit. The issuer of any letter of credit issued under the subfacility for letters of credit will also receive a customary fronting fee and other customary processing charges. CHS was initially obligated to pay commitment fees of 0.50% per annum (subject to reduction based upon the Company&#8217;s leverage ratio) on the unused portion of the revolving credit facility. For purposes of this calculation, swingline loans are not treated as usage of the revolving credit facility. With respect to the delayed draw term loan facility, CHS was also obligated to pay commitment fees of 0.50% per annum for the first nine months after the closing of the Credit Facility, 0.75% per annum for the next three months after such nine-month period and thereafter, 1.0% per annum. In each case, the commitment fee was paid on the unused amount of the delayed draw term loan facility. After the draw down of the remaining $200&#160;million of the delayed draw term loan in January&#160;2009, CHS no longer pays any commitment fees for the delayed draw term loan facility. CHS paid arrangement fees on the closing of the Credit Facility and pays an annual administrative agent fee. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Credit Facility contains customary representations and warranties, subject to limitations and exceptions, and customary covenants restricting the Company&#8217;s and its subsidiaries&#8217; ability, subject to certain exceptions, to, among other things (1)&#160;declare dividends, make distributions or redeem or repurchase capital stock, (2)&#160;prepay, redeem or repurchase other debt, (3)&#160;incur liens or grant negative pledges, (4)&#160;make loans and investments and enter into acquisitions and joint ventures, (5)&#160;incur additional indebtedness or provide certain guarantees, (6)&#160;make capital expenditures, (7)&#160;engage in mergers, acquisitions and asset sales, (8)&#160;conduct transactions with affiliates, (9)&#160;alter the nature of the Company&#8217;s businesses, (10)&#160;grant certain guarantees with respect to physician practices, (11)&#160;engage in sale and leaseback transactions or (12)&#160;change the Company&#8217;s fiscal year. The Company is also required to comply with specified financial covenants (consisting of a leverage ratio and an interest coverage ratio) and various affirmative covenants. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Events of default under the Credit Facility include, but are not limited to, (1)&#160;CHS&#8217;s failure to pay principal, interest, fees or other amounts under the credit agreement when due (taking into account any applicable grace period), (2)&#160;any representation or warranty proving to have been materially incorrect when made, (3)&#160;covenant defaults subject, with respect to certain covenants, to a grace period, (4)&#160;bankruptcy events, (5)&#160;a cross default to certain other debt, (6)&#160;certain undischarged judgments (not paid within an applicable grace period), (7)&#160;a change of control, (8) certain ERISA-related defaults and (9)&#160;the invalidity or impairment of specified security interests, guarantees or subordination provisions in favor of the administrative agent or lenders under the Credit Facility. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Notes were issued by CHS in connection with the Triad acquisition in the principal amount of approximately $3.0&#160;billion. The Notes will mature on July&#160;15, 2015. The Notes bear interest at the rate of 8.875% per annum, payable semiannually in arrears on January&#160;15 and July&#160;15, commencing January&#160;15, 2008. Interest on the Notes accrues from the date of original issuance. Interest is calculated on the basis of a 360-day year comprised of twelve 30-day months. </div> <!-- Folio --> <!-- /Folio --> </div> <!-- PAGEBREAK --> <div style="font-family: 'Times New Roman',Times,serif"> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Except as set forth below, CHS is not entitled to redeem the Notes prior to July&#160;15, 2011. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On and after July&#160;15, 2011, CHS is entitled, at its option, to redeem all or a portion of the Notes upon not less than 30 nor more than 60&#160;days notice, at the redemption prices (expressed as a percentage of principal amount on the redemption date), plus accrued and unpaid interest, if any, to the redemption date (subject to the right of holders of record on the relevant record date to receive interest due on the relevant interest payment date), if redeemed during the 12-month period commencing on July&#160;15 of the years set forth below: </div> <div align="center"> <table style="font-size: 10pt; text-align: left" cellspacing="0" border="0" cellpadding="0" width="100%"> <!-- Begin Table Head --> <tr valign="bottom"> <td width="88%">&#160;</td> <td width="5%">&#160;</td> <td width="3%">&#160;</td> <td width="1%">&#160;</td> <td width="3%">&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td nowrap="nowrap" align="left" style="border-bottom: 1px solid #000000"><b>Period</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3" style="border-bottom: 1px solid #000000"><b>Redemption Price</b></td> </tr> <!-- End Table Head --> <!-- Begin Table Body --> <tr valign="bottom" style="background: #cceeff"> <td> <div style="margin-left:15px; text-indent:-15px">2011 </div></td> <td>&#160;</td> <td nowrap="nowrap" align="right">&#160;</td> <td align="right">104.438</td> <td nowrap="nowrap">%</td> </tr> <tr valign="bottom"> <td> <div style="margin-left:15px; text-indent:-15px">2012 </div></td> <td>&#160;</td> <td nowrap="nowrap" align="right">&#160;</td> <td align="right">102.219</td> <td nowrap="nowrap">%</td> </tr> <tr valign="bottom" style="background: #cceeff"> <td> <div style="margin-left:15px; text-indent:-15px">2013 and thereafter </div></td> <td>&#160;</td> <td nowrap="nowrap" align="right">&#160;</td> <td align="right">100.000</td> <td nowrap="nowrap">%</td> </tr> <!-- End Table Body --> </table> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;CHS is entitled, at its option, to redeem the Notes, in whole or in part, at any time prior to July&#160;15, 2011, upon not less than 30 or more than 60&#160;days notice, at a redemption price equal to 100% of the principal amount of Notes redeemed plus the Applicable Premium (as defined), and accrued and unpaid interest, if any, as of the applicable redemption date. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Pursuant to a registration rights agreement entered into at the time of the issuance of the Notes, as a result of an exchange offer made by CHS, substantially all of the Notes issued in July 2007 were exchanged in November&#160;2007 for new notes (the &#8220;Exchange Notes&#8221;) having terms substantially identical in all material respects to the Notes (except that the Exchange Notes were issued under a registration statement pursuant to the Securities Act of 1933, as amended). 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The Company incorporates credit valuation adjustments (&#8220;CVAs&#8221;) to appropriately reflect both its own nonperformance or credit risk and the respective counterparty&#8217;s nonperformance or credit risk in the fair value measurements. In adjusting the fair value of its interest rate swap agreements for the effect of nonperformance or credit risk, the Company has considered the impact of any netting features included in the agreements. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company assesses the effectiveness of its hedge instruments on a quarterly basis. For the three and six months ended June&#160;30, 2011 and 2010, the Company completed an assessment of the cash flow hedge instruments and determined the hedges to be highly effective. The Company has also determined that the ineffective portion of the hedges do not have a material effect on the Company&#8217;s consolidated financial position, operations or cash flows. The counterparties to the interest rate swap agreements expose the Company to credit risk in the event of nonperformance. However, at June&#160;30, 2011, each swap agreement entered into by the Company was in a net liability position so that the Company would be required to make the net settlement payments to the counterparties; the Company does not anticipate nonperformance by those counterparties. The Company does not hold or issue derivative financial instruments for trading purposes. </div> <!-- Folio --> <!-- /Folio --> </div> <!-- PAGEBREAK --> <div style="font-family: 'Times New Roman',Times,serif"> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Interest rate swaps consisted of the following at June&#160;30, 2011: </div> <div align="center"> <table style="font-size: 10pt; text-align: left" cellspacing="0" border="0" cellpadding="0" width="100%"> <!-- Begin Table Head --> <tr valign="bottom"> <td width="22%">&#160;</td> <td width="5%">&#160;</td> <td width="3%">&#160;</td> <td width="1%">&#160;</td> <td width="3%">&#160;</td> <td width="5%">&#160;</td> <td width="3%">&#160;</td> <td width="1%">&#160;</td> <td width="3%">&#160;</td> <td width="5%">&#160;</td> <td width="3%">&#160;</td> <td width="1%">&#160;</td> <td width="3%">&#160;</td> <td width="5%">&#160;</td> <td width="3%">&#160;</td> <td width="1%">&#160;</td> <td width="3%">&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3"><b>Notional</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3">&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3">&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3">&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3"><b>Amount</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3"><b>Fixed Interest</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3"><b>Termination</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3"><b>Fair Value</b></td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td nowrap="nowrap" align="center" style="border-bottom: 1px solid #000000"><b>Swap #</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3" style="border-bottom: 1px solid #000000"><b>(in 000&#8217;s)</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3" style="border-bottom: 1px solid #000000"><b>Rate</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3" style="border-bottom: 1px solid #000000"><b>Date</b></td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="3" style="border-bottom: 1px solid #000000"><b>(in 000&#8217;s)</b></td> </tr> <!-- End Table Head --> <!-- Begin Table Body --> <tr valign="bottom" style="background: #cceeff"> <td align="center"> <div style="margin-left:15px; 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FAIR VALUE</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt"><b><i>Fair Value Hierarchy</i></b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Fair value is a market-based measurement, not an entity-specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. 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CONTINGENCIES</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company is a party to various legal proceedings incidental to its business. In the opinion of management, any ultimate liability with respect to these actions will not have a material adverse effect on the Company&#8217;s consolidated financial position, cash flows or results of operations. With respect to all litigation matters, the Company considers the likelihood of a negative outcome. If the Company determines the likelihood of a negative outcome is probable and the amount of the loss can be reasonably estimated, the Company records an estimated loss for the expected outcome of the litigation. If the likelihood of a negative outcome is reasonably possible and the Company is able to determine an estimate of the possible loss or a range of loss, the Company discloses that fact together with the estimate of the possible loss or range of loss. However, it is difficult to predict the outcome or estimate a possible loss or range of loss in some instances because litigation is subject to significant uncertainties. </div> <!-- Folio --> <!-- /Folio --> </div> <!-- PAGEBREAK --> <div style="font-family: 'Times New Roman',Times,serif"> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt"><u>Reasonably Possible Contingencies</u> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;For all of the legal matters below, the Company believes that a negative outcome is reasonably possible, but the Company is unable to determine an estimate of the possible loss or a range of loss. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On February&#160;10, 2006, the Company received a letter from the Civil Division of the Department of Justice requesting documents in an investigation it was conducting involving the Company. The inquiry related to the way in which different state Medicaid programs apply to the federal government for matching or supplemental funds that are ultimately used to pay for a small portion of the services provided to Medicaid and indigent patients. These programs are referred to by different names, including &#8220;intergovernmental payments,&#8221; &#8220;upper payment limit programs,&#8221; and &#8220;Medicaid disproportionate share hospital payments.&#8221; The February&#160;2006 letter focused on the Company&#8217;s hospitals in three states: Arkansas, New Mexico, and South Carolina. On August&#160;31, 2006, the Company received a follow up letter from the Department of Justice requesting additional documents relating to the programs in New Mexico and the payments to the Company&#8217;s three hospitals in that state. Through the beginning of 2009, the Company provided the Department of Justice with requested documents, met with its personnel on numerous occasions, and otherwise cooperated in its investigation. During the course of the investigation, the Civil Division notified the Company that it believed that the Company and its three New Mexico hospitals caused the State of New Mexico to submit improper claims for federal funds, in violation of the Federal False Claims Act. At one point, the Civil Division calculated that the three hospitals received ineligible federal participation payments from August&#160;2000 to June&#160;2006 of approximately $27.5&#160;million and said that if it proceeded to trial, it would seek treble damages plus an appropriate penalty for each of the violations of the Federal False Claims Act. This investigation has culminated in the federal government&#8217;s intervention in a qui tam lawsuit styled U.S. ex rel. Baker vs. Community Health Systems, Inc., pending in the United States District Court for the District of New Mexico. The federal government filed its complaint in intervention on June&#160;30, 2009. The relator filed a second amended complaint on July&#160;1, 2009. Both of these complaints expand the time period during which alleged improper payments were made. The Company filed motions to dismiss all of the federal government&#8217;s and the relator&#8217;s claims on August&#160;28, 2009. On March&#160;19, 2010, the court granted in part and denied in part the Company&#8217;s motion to dismiss as to the relator&#8217;s complaint. On July&#160;7, 2010, the court denied the Company&#8217;s motion to dismiss the federal government&#8217;s complaint in intervention. On July&#160;21, 2010, the Company filed its answer and pretrial discovery began. On June&#160;2, 2011, the relator filed a Third Amended Complaint adding subsidiaries Community Health Systems Professional Services Corporation and CHS/Community Health Systems, Inc. as defendants. On June&#160;6, 2011, the government filed its First Amended Complaint in intervention adding Community Health Systems Professional Services Corporation as a defendant. Discovery is continuing. The discovery deadline is currently set for September&#160;30, 2011, the deadline for filing of Motions for Summary Judgment is November&#160;21, 2011 and there is currently no trial date set. The Company is vigorously defending this action. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On June&#160;12, 2008, two of the Company&#8217;s hospitals received letters from the U.S. Attorney&#8217;s Office for the Western District of New York requesting documents in an investigation it is conducting into billing practices with respect to kyphoplasty procedures performed during the period January&#160;1, 2002, through June&#160;9, 2008. On September&#160;16, 2008, one of the Company&#8217;s hospitals in South Carolina also received an inquiry. Kyphoplasty is a surgical spine procedure that returns a compromised vertebrae (either from trauma or osteoporotic disease process) to its previous height, reducing or eliminating severe pain. The Company has been informed that similar investigations have been initiated at unaffiliated facilities in Alabama, South Carolina, Indiana and other states. The Company believes that this investigation is related to a qui tam settlement between the same U.S. Attorney&#8217;s office and the manufacturer and distributor of the Kyphon product, which is used in performing the kyphoplasty procedure. The Company is cooperating with the investigation by collecting and producing material responsive to the requests. The Company is continuing to evaluate and discuss this matter with the federal government. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt"><u>Matters for which an Outcome Cannot be Assessed</u> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;For all of the legal matters below, the Company cannot at this time assess what the outcome may be and is further unable to determine any estimate of loss or range of loss. Because the allegations were made so recently and the investigations are at a very preliminary stage, there are not sufficient facts available to make these assessments. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On April&#160;8, 2011, the Company received a document subpoena, dated March&#160;31, 2011, from the U.S. Department of Health and Human Services, Office of Inspector General (the &#8220;OIG&#8221;), in connection with an investigation of possible improper claims submitted to Medicare and Medicaid. The subpoena, issued from the OIG&#8217;s Chicago, Illinois office, requested documents from all of the Company&#8217;s hospitals and appears to concern emergency department processes and procedures, including the Company&#8217;s hospitals&#8217; use of the Pro-MED Clinical Information System, which is a third-party software system that assists with the management of patient care and provides operational support and data collection for emergency department management and has the ability to track discharge, transfer and admission recommendations of emergency department physicians. The subpoena also requested other information about the Company&#8217;s relationships with emergency department physicians, including financial arrangements. The subpoena&#8217;s requests were very similar to those contained in the Civil Investigative Demands received by the Company&#8217;s Texas hospitals from the Office of the Attorney General of the State of Texas on November&#160;15, 2010. The Company is continuing to cooperate with the government in this investigation. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On April&#160;11, 2011, Tenet Healthcare Corporation (&#8220;Tenet&#8221;) filed suit against the Company, Wayne T. Smith and W. Larry Cash in the U.S. District Court for the Northern District of Texas. The suit alleged the Company committed violations of certain federal securities laws by making certain statements in various proxy materials filed with the SEC in connection with the Company&#8217;s offer to purchase Tenet. Tenet alleged that the Company engaged in a practice to under-utilize observation status and over-utilize inpatient admission status and asserts that by doing so, the Company created undisclosed financial and legal liability to federal, state and private payors. The suit seeks declaratory and injunctive relief and Tenet&#8217;s costs. On April&#160;19, 2011, the Company filed a motion to dismiss the complaint. On April&#160;28, 2011, the Company responded to the allegations during its earnings release conference call as discussed in the Company&#8217;s Form 8-K furnished on April&#160;28, 2011. On May&#160;16, 2011, Tenet filed an amended complaint. On June&#160;29, 2011, the Company filed a motion to dismiss the amended complaint. A hearing on the Company&#8217;s motion to dismiss is expected to occur in September&#160;2011. The Company will continue to vigorously defend this suit. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;On April&#160;22, 2011, a joint motion was filed by the relator and the U.S. Department of Justice in the case styled United States ex rel. and Reuille vs. Community Health Systems Professional Services Corporation and Lutheran Musculoskeletal Center, LLC d/b/a Lutheran Hospital, in the United States District Court for the Northern District of Indiana, Fort Wayne Division. The lawsuit was originally filed under seal on January&#160;7, 2009. The suit is brought under the False Claims Act and alleges that Lutheran Hospital of Indiana billed the Medicare program for (a)&#160;false 23 hour observation after outpatient surgeries and procedures, and (b)&#160;intentional assignment of inpatient status to one-day stays for cases that do not meet Medicare criteria for inpatient intensity of service or severity of illness. The relator had worked in the case management department of Lutheran Hospital of Indiana but was reassigned to another department in the fall of 2006. This facility was acquired by the Company as part of the July&#160;25, 2007 merger transaction with Triad. The complaint also includes allegations of age discrimination in Ms.&#160;Reuille&#8217;s 2006 reassignment and retaliation in connection with her resignation on October&#160;1, 2008. The Company had cooperated fully with the government in its investigation of this matter, but had been unaware of the exact nature of the allegations in the complaint. On December&#160;27, 2010, the government filed a notice that it declined to intervene in this suit. The motion contained additional information about how the government intended to proceed with an investigation regarding &#8220;allegations of improper billing for inpatient care at other hospitals associated with Community Health Systems, Inc. . . . asserted in other qui tam complaints in other jurisdictions.&#8221; The motion stated that the Department of Justice has &#8220;consolidated its investigations&#8221; of the Company and other related entities and that &#8220;the Civil Division of the Department of Justice, multiple United States Attorneys&#8217; offices, and the Office of Inspector General for the Department of Health and Human Services (the &#8220;HHS&#8221;) are now closely coordinating their investigation of these overlapping allegations. The Attorney General of Texas has initiated an investigation; the United States intends to work cooperatively with Texas and any other States investigating these allegations.&#8221; The motion also stated that the Office of Audit Services for the Office of Investigations for HHS has been engaged to conduct a national audit of certain of the Company&#8217;s Medicare claims. The government confirmed that it considers the allegations made in the complaint styled Tenet Healthcare Corporation vs. Community Health Systems, Inc., et al. filed in the United States District Court for the Northern District of Texas, Dallas Division on April&#160;11, 2011 to be related to the allegations in the qui tam and to what the government is now describing as a consolidated investigation. Because qui tam suits are filed &#8220;under seal,&#8221; no one but the relator and the government knows that the suit has been filed or what allegations are being made by the relator on behalf of the government. Initially, the government has 60&#160;days to make a determination about whether to intervene in a case and to act as the plaintiff or to decline to intervene and allow the relator to act as the plaintiff in the suit, but extensions of time are frequently granted to allow the government additional time to investigate the allegations. Even if, in the course of an investigation, the court partially unseals a complaint to allow the government and a defendant to work to a resolution of the complaint&#8217;s allegations, the defendant is prohibited from revealing to anyone even that the partial unsealing has occurred. As the investigation proceeds, the Company may learn of additional qui tam suits filed against the Company or its affiliated hospitals or related entities, or that contact letters, document requests, or medical record requests the Company has received in the past from various governmental agencies are generated from qui tam cases filed under seal. The motion filed on April 22, 2011 concluded by requesting a stay of the litigation in the Reuille case for 180&#160;days, and on April&#160;25, 2011, the court granted the motion. The Company&#8217;s management company subsidiary, Community Health Systems Professional Services Corporation, the defendant in the Reuille case, consented to the request for the stay. The Company is cooperating fully with the government in its investigations. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;Three purported class action shareholder federal securities cases have been filed in the United States District Court for the Middle District of Tennessee namely, Norfolk County Retirement System v. Community Health Systems, Inc., Wayne T. </div> <!-- Folio --> <!-- /Folio --> </div> <!-- PAGEBREAK --> <div style="font-family: 'Times New Roman',Times,serif"> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="center" style="font-size: 10pt; margin-top: 0pt"> <b> </b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">Smith and W. Larry Cash, filed May&#160;5, 2011; De Zheng v. Community Health Systems, Inc., Wayne T. Smith and W. Larry Cash, filed May&#160;12, 2011; and Minneapolis Firefighters Relief Association v. Community Health Systems, Inc., Wayne T. Smith, W. Larry Cash and Thomas Mark Buford, filed June&#160;2, 2011. All three seek class certification on behalf of purchasers of the Company&#8217;s common stock between July&#160;27, 2006 and April&#160;11, 2011 and allege that misleading statements resulted in artificially inflated prices for the Company&#8217;s common stock. Two shareholder derivative actions have also been filed in the United States District Court for the Middle District of Tennessee; Plumbers and Pipefitters Local Union No.&#160;630 Pension Annuity Trust Fund v. Wayne T. Smith, W. Larry Cash, T. Mark Buford, John A. Clerico, James S. Ely III, John A. Fry, William Norris Jennings, Julia B. North and H. Mitchell Watson, Jr., filed May&#160;24, 2011, and Roofers Local No.&#160;149 Pension Fund v. Wayne T. Smith, W. Larry Cash, John A. Clerico, James S. Ely, III, John A. Fry, William Norris Jennings, Julia B. North and H. Mitchell Watson, Jr., filed June&#160;21, 2011. These two cases allege breach of fiduciary duty arising out of allegedly improper inpatient admission practices, mismanagement, waste and unjust enrichment. The Company believes all of these matters are without merit and will vigorously defend them. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company incurred the following pre-tax charges in connection with the Tenet acquisition lawsuit, government investigations and shareholder lawsuits of possible improper claims submitted to Medicare and Medicaid during the three and six months ending June&#160;30, 2011 and 2010 (in thousands): </div> <div align="center"> <table style="font-size: 10pt; text-align: left" cellspacing="0" border="0" cellpadding="0" width="100%"> <!-- Begin Table Head --> <tr valign="bottom"> <td width="52%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> <td width="5%">&#160;</td> <td width="1%">&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="6"><b>Three Months Ended</b></td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="6"><b>Six Months Ended</b></td> <td>&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="6" style="border-bottom: 1px solid #000000"><b>June 30,</b></td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="6" style="border-bottom: 1px solid #000000"><b>June 30,</b></td> <td>&#160;</td> </tr> <tr style="font-size: 8pt" valign="bottom"> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"><b>2011</b></td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"><b>2010</b></td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"><b>2011</b></td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" align="center" colspan="2" style="border-bottom: 1px solid #000000"><b>2010</b></td> <td>&#160;</td> </tr> <!-- End Table Head --> <!-- Begin Table Body --> <tr valign="bottom"> <td> <div style="margin-left:15px; text-indent:-15px">Professional fees and other related costs </div></td> <td>&#160;</td> <td align="left">$</td> <td align="right">6,174</td> <td>&#160;</td> <td>&#160;</td> <td align="left">$</td> <td align="right">&#8212;</td> <td>&#160;</td> <td>&#160;</td> <td align="left">$</td> <td align="right">6,174</td> <td>&#160;</td> <td>&#160;</td> <td align="left">$</td> <td align="right">&#8212;</td> <td>&#160;</td> </tr> <tr style="font-size: 1px"> <td> <div style="margin-left:15px; text-indent:-15px">&#160; </div></td> <td>&#160;</td> <td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000">&#160;</td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000">&#160;</td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000">&#160;</td> <td>&#160;</td> <td>&#160;</td> <td nowrap="nowrap" colspan="2" align="right" style="border-top: 3px double #000000">&#160;</td> <td>&#160;</td> </tr> <!-- End Table Body --> </table> </div> </div> <!--DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd" --> <!-- Begin Block Tagged Note 18 - us-gaap:SubsequentEventsTextBlock--> <div style="font-family: 'Times New Roman',Times,serif"> <div align="left" style="font-size: 10pt; margin-top: 12pt"><b>18. SUBSEQUENT EVENTS</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;The Company evaluated all material events occurring subsequent to the balance sheet date for events requiring disclosure or recognition in the condensed consolidated financial statements. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">&#160;&#160;&#160;&#160;&#160;In July&#160;2011, one or more subsidiaries of the Company entered into a definitive agreement to acquire substantially all of the assets of Moses Taylor Health Care System, located in northeast Pennsylvania. This healthcare system includes Moses Taylor Hospital in Scranton, Pennsylvania (217 licensed beds) and Mid-Valley Hospital in Peckville, Pennsylvania (25 licensed beds). The transaction, subject to customary federal and state regulatory approvals including review and approval by the Attorney General of the Commonwealth of Pennsylvania, is expected to be completed in late 2011 or early 2012. Also in July 2011, one or more subsidiaries of the Company entered into a definitive agreement to acquire substantially all of the assets of Tomball Regional Medical Center (357 licensed beds), located in Tomball, Texas and serving the greater northwest Houston market. The transaction, subject to customary federal and state regulatory approvals, is expected to be completed in 2011. </div> </div> <!--DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd" --> <!-- Begin Block Tagged Note 19 - cyh:CondensedConsolidatingFinancialInformationDisclosureTextBlock--> <div style="font-family: 'Times New Roman',Times,serif"> <div align="left" style="font-size: 10pt; margin-top: 12pt"><b>19. 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The ASU also requires qualitative disclosures about the Company&#8217;s policy for recognizing revenue and bad debt expense for patient service transactions and quantitative information about the effects of changes in the assessment of collectibility of patient service revenue. This ASU is effective for fiscal years beginning after December&#160;15, 2011, and will be adopted by the Company in the first quarter of 2012. 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Only the hospital operations segment meets the criteria as a separate reportable segment. 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